Dakota Optometric Eye Care Associates, P.A.

LBN: Dakota Optometric Eye Care Associates, P.A.
Dakota Optometric Eye Care Associates, P.A. is an health care organization with primary practice located at 1540 Humboldt Ave Suite 201, Saint Paul MN 55118-3417. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dakota Optometric Eye Care Associates, P.A. can be contacted via phone (651) 457-2020, or through Hennen, Mark via phone (651) 455-6631.

Contact Information

Primary practice address
1540 Humboldt Ave Suite 201 Saint Paul MN 55118-3417
Fax:
Website:
Authorized official contact:
Name: Hennen, Mark Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1789 Minnesota

Profile Details

NPI number 1598773780
LBN Legal business name Dakota Optometric Eye Care Associates, P.A.
DBA Doing business as Dakota Optometric Eye Care Associates, P.A.
Authorized official Hennen, Mark Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Jan 22nd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598773780 NPPES
Minnesota MEDICAID 1598773780

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